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Contact Information

PODIATRY SERVICES OF CENTRAL NEW YORK, PC
6900 HIGHBRIDGE ROAD
FAYETTEVILLE, NY13066
 Phone: 315-299-5007
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for PODIATRY SERVICES OF CENTRAL NEW YORK, PC

NPI # 1477201176
LBN Legal business name PODIATRY SERVICES OF CENTRAL NEW YORK, PC
Authorized official FREDDIE EDELMAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/13/2022
Last updated 03/13/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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